Organization Active NPI

Jeffrey D. Sevener, D.D.S., P.C.

Doing business as Pinnacle Dental Group

  • General Practice Dentistry
  • Muskegon, MI
National Provider Identifier
1205844081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17061 Issued in MI
Legal business name
JEFFREY D. SEVENER, D.D.S., P.C.
Doing business as
Pinnacle Dental Group
Practice address
1827 W Sherman Blvd
Muskegon, MI 49441-3477
Phone
(231) 755-6515
Fax
(231) 755-9632
NPI assigned
Aug 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey David Sevener, D.D.S.NPI 1184953192
Title
President
Phone
(231) 755-6515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17061 MI Primary

Addresses

Primary practice location

1827 W Sherman Blvd
Muskegon, MI 49441-3477

Mailing address

1827 W Sherman Blvd
Muskegon, MI 49441-3477
Phone (231) 755-6515

Other identifiers 1

IdentifierTypeStateIssuer
4435015MedicaidMI

Other names 1

  • Pinnacle Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1827 W Sherman Blvd
Norton Shores, MI 49441
Phone (231) 755-4151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205844081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 W SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413477",
            "telephone_number": "231-755-6515",
            "fax_number": "231-755-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 W SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413477",
            "telephone_number": "231-755-6515",
            "fax_number": "231-755-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. SEVENER, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEVENER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-755-6515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4435015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.